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Credit Unions Online Complaint Form

Before you begin, please review instructions on how to file a complaint with the Division of Credit Unions.

To file a credit union complaint, please provide:

Your name, mailing address, and phone number (with area code).
The name and location of the credit union.
A simple explanation of the problem, with a list of events in chronological order, making sure to include names and dates. Be specific and as brief as possible.

* Denotes a required field

Public Records Disclosure Act

The Washington Public Records Act (PRA), RCW 42.56, may require disclosure of a complaint after a file is closed. If you choose, you may keep your identifying information exempt from disclosure under the PRA by checking this box. Please note that this exemption does not necessarily restrict the release of your identifying information pursuant to a court order, subpoena, or during litigation.

Your Information

* Name

* Mailing Address

Address Continued

* City

* State

* Zip Code

* Phone Number

Fax Number

Email Address

Credit Union Information

* Name of Credit Union

* Location

Branch

Who You Contacted

Complaint/Problem

* Briefly describe the problem or complaint in the box provided below.

Declaration

By filling in my name and the date below, I declare, under penalty of perjury under the laws of the State of Washington that the information contained in this complaint is true and accurate and the information may be used to further investigate the complaint.

* Name:

* Date:

*	Name
*	Mailing Address
	Address Continued
*	City
*	State
*	Zip Code
*	Phone Number
	Fax Number
	Email Address